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on February 21, 2005

Hypertension. 2005
Published online before print February 21, 2005, doi: 10.1161/01.HYP.0000157409.88971.fc
A more recent version of this article appeared on April 1, 2005
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Submitted on December 1, 2004
Revised on January 3, 2005

Inhibitory Effects of AT1 Receptor Blocker, Olmesartan, and Estrogen on Atherosclerosis Via Anti-Oxidative Stress

Masahiro Tsuda; Masaru Iwai; Jian-Mei Li; Huan-Sheng Li; Li-Juan Min; Ayumi Ide; Midori Okumura; Jun Suzuki; Masaki Mogi; Hiromichi Suzuki; and Masatsugu Horiuchi*

From the Department of Molecular and Cellular Biology (M.T., M.I., J.-M.L., H.-S.L., L.-J.M., A.I., M.O., J.S., M.M., M.H.), Division of Medical Biochemistry and Cardiovascular Biology, Ehime University School of Medicine, Shigenobu, Ehime, Japan; and the Department of Nephrology (M.T., H.S.), Saitama Medical School, Moroyama, Saitama, Japan.

* To whom correspondence should be addressed. E-mail: horiuchi{at}m.ehime-u.ac.jp.

Abstracts--The present study explored the possibility that estrogen enhances the inhibitory effect of an angiotensin II type-1 (AT1) receptor blocker (ARB), olmesartan, on atherosclerosis, focusing on oxidative stress using apolipoprotein E knockout mice (ApoEKO). After 6 weeks on a high-cholesterol diet, marked atherosclerotic lesion formation with an increase in oxidative stress, such as superoxide production, NAD(P)H oxidase activity and expression of p47phox mRNA and rac-1 mRNA, were observed in the proximal aorta in both male and female ApoEKO mice, whereas these changes were less marked in female mice. Ovariectomy enhanced these parameters, the changes of which were reversed by 17{beta}-estradiol (80 µg/kg per day) replacement. Treatment with olmesartan (3 mg/kg per day) significantly inhibited oxidative stress and atherosclerosis, whereas its inhibitory effects were more marked in female than in male or ovariectomized mice. Smaller doses of olmesartan (0.5 mg/kg per day) or 17{beta}-estradiol (20 µg/kg per day) did not influence atherosclerosis and oxidative stress in ovariectomized mice, whereas co-administration of olmesartan and 17{beta}-estradiol at these doses attenuated these parameters. An angiotensin-converting enzyme (ACE) inhibitor, temocapril, also inhibited atherosclerotic changes similarly to olmesartan. Moreover, angiotensin II-mediated activation of NAD(P)H oxidase in cultured vascular smooth muscle cells was attenuated by 17{beta}-estradiol. These results indicate that estrogen and an ARB synergistically attenuate atherosclerosis at least partly via inhibition of oxidative stress.


Key words: atherosclerosis • estrogen • oxidative stress • receptors, angiotensin II




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